4W4-81524-84586
5 vaccinations
7 coded responses
56 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · ChillsFree text: Chills last night, none today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
-
2021-02-07
Survey response — day 14, dose 1MedDRA: Injection site reaction, Injection site warmth, Rash erythematous, Rash pruritic — Feeling: GoodFree text: Red warm itchy rash on arm at shot site and below . Should I take Benedryl?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — day 21, dose 1MedDRA: Cough, SARS-CoV-2 test negative — Feeling: GoodFree text: Dry cough, so followed up with Covid test (saliva) that was NEGATIVEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy in AMMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-02
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-03-31
Dose 4 — Moderna
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-14
-
2022-04-21
Survey response — day 21, dose 4MedDRA: Chills, Fatigue, Headache, Nasal congestion, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Nasal and throat congestion, chills, headache and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-25
-
2022-04-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
-
2022-09-14
Dose 5 — ModernaCo-administered: Flu
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
-
2022-10-12
Survey response — day 28, dose 5MedDRA: Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Bad cold, nasal congestion, sore throat, fatigue and headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
-
2022-12-16
Survey response — 3 months, dose 5MedDRA: Bronchitis, Cough, Decreased appetite, Dyspnoea exertional, Influenza, Oxygen saturation decreased, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Influenza A relentless cough shortness breath with exertion, low oximeter readings, fever loss appetite followed by bronchitis deep cough and low oximeter readingsMedDRA releases: 2024-11 · check-in free text available
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2022-12-16
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-20
-
2023-01-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-14 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Chills last night, none today.
Release 3 — day 14, dose 1
Symptoms: Red warm itchy rash on arm at shot site and below . Should I take Benedryl?
Release 4 — day 21, dose 1
Symptoms: Dry cough, so followed up with Covid test (saliva) that was NEGATIVE
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy in AM
Release 11 — day 21, dose 4
Symptoms: Nasal and throat congestion, chills, headache and fatigue
Release 12 — day 28, dose 5
Symptoms: Bad cold, nasal congestion, sore throat, fatigue and headache
Release 12 — 3 months, dose 5
Symptoms: Influenza A relentless cough shortness breath with exertion, low oximeter readings, fever loss appetite followed by bronchitis deep cough and low oximeter readings
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release